HomeMy WebLinkAboutMiscellaneous - 143 Elm Street Location
No. Z S
Date
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NORTH TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee $
ACMU Foundation Permit Fee $
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YcoPermitU
AAr,,�� Fee $
4P,,9 , SeW 447nection Fee $
✓o /kater Connection Fee_. ,, $
4�rco TOTAL
Building Inspector
510 --
Div. Public Works
PERI%ft NO.-11-5 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ZPA
GE 1
"AP 4d0. LOT NO. 12 RECORD OF OWNERSHIP IDATE (BOOK 'PAGE
ZONE I SUB DIV. LOT NO.
LOCATION PURPOSE OF BUILDING
OWNER'S NAMIE NO. OF STORIES SIZE
OWNER'S ADDRES - BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
--
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET " POSTS
DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
;,/ILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST
PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
BOARD OF HEALTH
,--rlGNAyUjtE OF OWN@R O A H GENT
1.
FEE
PLANNING BOARD
PERM GR TED
` � 19 ��_
BOARD OF SELECTMEN
BUILDING SPECTOR
as
J
BUILDING RECORD
1 OCCUPANCY 12 `
SINGLE FAMILY STORIES *THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES, GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION I 8 INTERIOR FINISH
CONCRETE _III B 1 2 13
CONCRETE 81.K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT 11
AREA FULL I FIN. B'M'TAREA _
114 1/2 1/1 FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_ f? "
WOOD SHINGLES EARTH
ASPHALT SIDING HARD\!J'D
ASBESTOS SIDING _ COMMON
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BILK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR II POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLEHIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR 8 GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 8 COLS. STEAM
STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd I NO HEATING
LY1 SEWEAtltl 1T A 1BgA „nr -r: n
Town of
ndover
No. 115
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DRIVEWAY
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`SS�4 IC
BOARD OF HEALTH
ER T T D
THIS CERTIFIES T
. . . . ......,.
•- .. ��•....4; BUILDING INSPECTOR
has permission to er moldings on .... . .... ..... Rough
eA
Chimney "
tobe occupied as....... . .. ...r. ....................................... Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES I MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONST Service
Final
BUILDING INSPECT GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathin to Be Done Until Inspected and Approved b
g P PP Y Smoke Det.
Building Inspector